| NPI | 1558538751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: VA 0101273116) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0101273116) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2023-08-10 |