| NPI | 1104260439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 2024-01378) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: GA 87948) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 87948) | |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2024-09-05 |