| NPI | 1659633972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME141865) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AL 35209) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-09-13 |