| NPI | 1619553393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 70623) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TN 70623) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-08-13 |