| NPI | 1104123686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 60722) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036129963) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2021-08-02 |