| NPI | 1144286014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME98857) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX P8008) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA07593) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2023-01-17 |