| NPI | 1609369545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61291520) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125.071898) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-09-08 |