| NPI | 1003158809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 2020-01648) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2020-01648) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-11-16 |