| NPI | 1366822025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A136494) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A136494) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2021-10-15 |