| NPI | 1780612804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD071591L) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD071591L) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2019-10-16 |