| NPI | 1083954606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301111759) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09231500) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2021-02-24 |