| NPI | 1740485762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 265571) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 265571) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2017-09-28 |