| NPI | 1760916514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: TX v2772) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX V2772) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-09-26 |