| NPI | 1922433440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME149166) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 125060339) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2021-06-11 |