| NPI | 1770961492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 58703) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 10705188-1205) |
| 207Q00000X Family Medicine (Licence: MO 2019038679) | |
| 207Q00000X Family Medicine (Licence: TN 54987) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 58703) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-08-27 |