| NPI | 1548611767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA OS020908) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.069621) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2020-10-16 |