NPI | 1750348017 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35 120011) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35-120011) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2020-10-26 |