| NPI | 1508177718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX R8733) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301099415) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2024-03-04 |