| NPI | 1225022486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IA 35193) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA 35193) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2021-02-11 |