| NPI | 1003047515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: TX Q9107) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA DEA0009752) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2016-10-11 |