| NPI | 1568453512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 38233) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 38233) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2023-12-15 |