| NPI | 1558712430 |
|---|---|
| Former Name | JACKIE HERZBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MO 2020032940) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-09007) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-12-29 |