| NPI | 1063610053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME78557) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-062273) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |