| NPI | 1639664220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: AZ 65895) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT216566) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-07-19 |