| NPI | 1508131756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A164918) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.140706) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-10-09 |