| NPI | 1912991928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IA 27414) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-053422) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2023-03-07 |