| NPI | 1700982493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA A67871) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: CA A67871) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A67871) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-02-13 |