| NPI | 1780835728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 51788) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OS015175) |
| 207Q00000X Family Medicine (Licence: PA OS015175) | |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2014-05-09 |