| NPI | 1790973576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 042248) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 042248) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |