| NPI | 1073043303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AL 42653) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.070473) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2021-08-20 |