| NPI | 1235559048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: WA MD61187093) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A139933) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-11-28 |