| NPI | 1508848540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AL MD29160) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: AL MD29160) |
| 207V00000X Obstetrics & Gynecology (Licence: TX M1190) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: GA 057876) | |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2016-05-16 |