| NPI | 1043505027 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME124327) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125060102) | 
| Enumeration Date | 2011-06-17 | 
| Last Update Date | 2022-07-05 |