| NPI | 1134612013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A204492) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.144536) |
| 207V00000X Obstetrics & Gynecology (Licence: IA R-11323) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 204492) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2025-10-16 |