| NPI | 1477675874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: OH 35.094121) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35-094121) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-09-13 |