| NPI | 1922257997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 51682) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125-054213) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2014-03-01 |