| NPI | 1710129879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2021-0603) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.132389) |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2024-10-29 |