| NPI | 1114180528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NE 26756) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2008016471) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-08-14 |