| NPI | 1801243902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 58932) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 58932) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2024-01-11 |