| NPI | 1811066061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD19086) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: OR MD19086) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2019-01-23 |