| NPI | 1629162995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A73003) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A73003) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2014-08-19 |