| NPI | 1275809519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 65877) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.061921) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2021-11-18 |