| NPI | 1669437950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 9901505) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 9901505) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 14410) | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NC 9901505) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-10-13 |