| NPI | 1912294455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036153030) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 59055) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301098864) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2021-04-29 |