| NPI | 1770719239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: UT 9801162-1205) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 121153) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116021246) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2024-06-07 |