| NPI | 1417243106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME159163) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35134890) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-12-01 |