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