| NPI | 1962586214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2007-01863) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: NC 200701863) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 36810) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2024-03-01 |