| NPI | 1922204759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101250763) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101250763) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-06-01 |