| NPI | 1336351352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD60142012) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OR MD27364) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60142012) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-10-23 |