| NPI | 1225347909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 246864) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.052998) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2016-01-21 |