| NPI | 1558550541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 258496) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57013629) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2019-01-16 |