| NPI | 1033678800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 14249440-1204) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.161097) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2026-01-30 |