| NPI | 1316364276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MT MED-PHYS-LIC-94803) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD188655) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-10-19 |