| NPI | 1457604738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL OS14728) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL OS14728) |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL OS14728) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2022-07-17 |