| NPI | 1609044270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 3465) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: SD 3465) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |