| NPI | 1255592952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: OK 29015) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2015-08-06 |