| NPI | 1083811186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD61523036) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 63682) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD452198) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CT 63682) | |
| 207V00000X Obstetrics & Gynecology (Licence: MA 232388) | |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD452198) | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2025-10-07 |