| NPI | 1710271341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036146956) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 053985) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2020-10-25 |