| NPI | 1902152226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MN 60057) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125061601) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2020-11-10 |