NPI | 1255419610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD00026913) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00026913) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2013-12-12 |