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