| NPI | 1730156902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A749521) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: CA A749521) |
| 208000000X Pediatrics (Licence: CA A749521) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2010-11-19 |