| NPI | 1720377963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.126089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.126089) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 125059699) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2020-11-11 |