| NPI | 1679669303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301099669) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 043338) |
| 207V00000X Obstetrics & Gynecology (Licence: MI 4301099669) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-01-09 |