| NPI | 1104042464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX N5283) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 036-114795) |
| 207V00000X Obstetrics & Gynecology (Licence: TX N5283) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2017-04-07 |