| NPI | 1760521777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E-5959) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NM 2005-0737) |
| 207V00000X Obstetrics & Gynecology (Licence: AR E-5959) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-12-03 |