| NPI | 1700063187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD60229208) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 6076407-1205) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-11-29 |