| NPI | 1124477898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A167822) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.068624) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2022-09-26 |