| NPI | 1316094295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA MD.204938) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0067315) |
| 207V00000X Obstetrics & Gynecology (Licence: LA MD.204938) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-08-31 |