| NPI | 1528379054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: SC 51941) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA ot013590) |
| 207V00000X Obstetrics & Gynecology (Licence: SC 51941) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2021-09-15 |