| NPI | 1710243324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MO 2019017107) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MO 2019017107) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2023-06-12 |