| NPI | 1598017048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101020125) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 5101020125) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2020-12-23 |