| NPI | 1588652143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A068207) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A68207) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A068207) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2014-07-16 |