| NPI | 1700997129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0011531) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 235171-1) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-01-13 |