| NPI | 1205824224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA MD062757L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD-062757-L) |
| 207V00000X Obstetrics & Gynecology (Licence: NV 14114) | |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NV 14114) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 14114) | |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-07-30 |