| NPI | 1265434179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 11149) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV 11149) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NV 11149) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2015-09-15 |