| NPI | 1023261237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: UT 7465193-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 7465193-1205) |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2022-01-11 |