| NPI | 1578711495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TX P1516) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: DC MD038023) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0069803) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2018-08-16 |