| NPI | 1528455748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 56368) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2019-00662) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 56368) | |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2025-04-09 |