| NPI | 1346446648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 36680) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2011-00642) |
| Enumeration Date | 2007-06-23 |
| Last Update Date | 2020-10-30 |