| NPI | 1104089655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A114916) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 236138) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A114916) | |
| Enumeration Date | 2008-07-04 |
| Last Update Date | 2021-07-22 |