| NPI | 1336300300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME157500) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 48601) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: RI CMD13936) | |
| Enumeration Date | 2008-06-22 |
| Last Update Date | 2022-08-18 |