| NPI | 1457518532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 55684-020) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125-051116) |
| Enumeration Date | 2008-05-17 |
| Last Update Date | 2016-09-26 |