| NPI | 1003243361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA OS019448) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MB09350900) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036137699) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2018-10-17 |