| NPI | 1710110622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME129644) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 57093) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME129644) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MN 106782) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2018-12-18 |