| NPI | 1083102982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MN 71465) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 62941) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-07-05 |