| NPI | 1265458137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: RI MD6170) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: RI MD6170) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2021-04-08 |