| NPI | 1629280839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 41241) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC 31693) |
| 207Q00000X Family Medicine (Licence: IL 036148977) | |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036148977) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-11-21 |