| NPI | 1760821458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R2328) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125063173) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2017-12-15 |