| NPI | 1891866364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2010015653) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 51419-20) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036154199) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2025-09-15 |