| NPI | 1467572263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101242028) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101242028) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MI 4301083532) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-12-27 |