| NPI | 1578650818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MD D85957) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 231004) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 231004) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-09-19 |