| NPI | 1356900880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: AZ 70270) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 94-09860) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2023-09-18 |