| NPI | 1053647230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 268811) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125056272) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301103020) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2016-11-23 |