| NPI | 1154633394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 2017-01907) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.058989) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2022-02-07 |