| NPI | 1114210572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 75875) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101258047) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: VA 0101258047) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2021-11-02 |