| NPI | 1295721462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA 205673) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 033672) |
| 207V00000X Obstetrics & Gynecology (Licence: LA 205673) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2014-07-23 |