| NPI | 1588849707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 287426) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 52000) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 51833) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2024-01-02 |