| NPI | 1780696401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AK 7478) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX HO308) |
| 207Q00000X Family Medicine (Licence: IN 01078989A) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2017-08-29 |