| NPI | 1225354152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA OP60125015) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.123752) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-10-28 |