| NPI | 1790121663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 67633) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125062714) |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2022-07-21 |