NPI | 1619051075 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME0078870) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME0078870) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2023-03-07 |