| NPI | 1306068978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME155299) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35096551) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301081190) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301081190) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: MI 4301081190) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-06-07 |