| NPI | 1649609579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61114174) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125061141) |
| 207V00000X Obstetrics & Gynecology (Licence: IA MD-43368) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2021-10-06 |