| NPI | 1396066536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2020017637) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.137915) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-10-09 |