| NPI | 1649666942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology (Licence: IL 036167212) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036167212) |
| 207V00000X Obstetrics & Gynecology (Licence: WI 66453) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-04-18 |