| NPI | 1104135649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX N9651) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.053241) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2015-08-25 |