| NPI | 1144640608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 207VF0040X) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: IL 146249) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207V00000X Obstetrics & Gynecology (Licence: WI 65057) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2024-06-24 |