| NPI | 1508903881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NM MD2010-0172) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM MD2010-0172) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35121536) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NM MD2010-0172) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-10-28 |