| NPI | 1669606521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: ME MD20685) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 254472) |
| 207V00000X Obstetrics & Gynecology (Licence: ME MD20685) | |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2016-09-13 |