| NPI | 1407168305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IA MD-45087) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OR MD171882) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA MD-45087) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2021-02-11 |