| NPI | 1104118249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2011016845) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-137005) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2021-07-16 |