| NPI | 1710248422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 65283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125061200) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2016-08-02 |