| NPI | 1669659595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NC 2009-00141) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 001344) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL ME104775) | |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2013-09-10 |