| NPI | 1639134588 |
|---|---|
| Former Name | IZUKA P UDOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 169783) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 169783) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-07-12 |