| NPI | 1851739221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01465) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2017-01465) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2023-12-01 |