| NPI | 1962440107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2008-01400) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2008-01400) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2025-07-03 |