| NPI | 1003011560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 4160) |
| Additional Taxonomies | 174400000X Specialist (Licence: IL 193400000X) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2019-11-27 |