| NPI | 1851602601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DE C2-0011767) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA OT012994) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036.132444) | |
| Enumeration Date | 2010-06-27 |
| Last Update Date | 2017-01-26 |