| NPI | 1760501225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: KY 42013) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-116166) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2018-12-06 |