| NPI | 1275584872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: WV 20147) |
| Additional Taxonomies | 174400000X Specialist (Licence: WV 20147) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: WV 20147) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2017-06-05 |