| NPI | 1467615898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 036.126361) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IL 036126361) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 036126361) | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2015-07-31 |