| NPI | 1700371762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 80551) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.161059) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2025-09-15 |