| NPI | 1184874976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME139450) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.054815) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2019-07-09 |