| NPI | 1881615417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD20945) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OR 20945MD) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OR 20945MD) | |
| 208000000X Pediatrics (Licence: OR MD20945) | |
| 208000000X Pediatrics (Licence: OR 20945MD) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-07 |