| NPI | 1396186623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: KY 55147) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: IL 4301103497) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2022-12-30 |