| NPI | 1962773168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A119443) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036.135569) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2021-04-26 |