| NPI | 1316170640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: KY TP751) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: IL 336014535) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |