| NPI | 1518046499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: WI 43350-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 43350020) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-12-06 |