| NPI | 1699962522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2020-01164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A93140) |
| 207Q00000X Family Medicine (Licence: VA 0101274843) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA A93140) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2023-10-03 |