| NPI | 1700928025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: NC 9900726) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 9900726) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-10-30 |