| NPI | 1194136242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IL 036145597) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT206760) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-02-11 |