NPI | 1477705168 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD60216894) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD60216894) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WA MD60216894) | |
Enumeration Date | 2008-10-14 |
Last Update Date | 2021-12-08 |