| NPI | 1750644415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 70803) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 70803) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 70803) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.129039) | |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2019-11-11 |