| NPI | 1154687150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A174188) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101264682) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A174188) | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-11-08 |