| NPI | 1215340336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 74246) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ R74386) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME151964) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 51030) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: KY 51030) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-11-11 |