| NPI | 1922457803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 74008) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WI 74008) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WI 74008) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2025-02-10 |