| NPI | 1780634675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ACN566) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301083263) |
| 207V00000X Obstetrics & Gynecology (Licence: PR 2839) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-06-28 |