| NPI | 1043522410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2021-02144) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2016020996) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2021-02144) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2021-11-09 |