| NPI | 1457915191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA 125.079776) |
| Additional Taxonomies | 208600000X Surgery (Licence: IL 125.079776) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2023-03-25 |