NPI | 1053471433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 017941) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA MD.017941) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2013-10-21 |