| NPI | 1962722660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A118543) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A115843) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2018-01-11 |