| NPI | 1962084400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125080118) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125080118) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2023-03-30 |