| NPI | 1316059603 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: DC MD45673)  | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD045673)  | 
| 207V00000X Obstetrics & Gynecology (Licence: OH 35-094680)  | |
| 207V00000X Obstetrics & Gynecology (Licence: MD D64589)  | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MD D64589)  | |
| Enumeration Date | 2006-08-31 | 
| Last Update Date | 2018-12-19 |