| NPI | 1639664220 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: DC MD600001639) | 
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216566) | 
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 65895) | |
| Enumeration Date | 2018-06-26 | 
| Last Update Date | 2024-08-08 |