| NPI | 1275743395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 3778) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125-047470) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-10-15 |