| NPI | 1780656629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA MD.200521) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: LA MD.200521) |
| Enumeration Date | 2006-02-04 |
| Last Update Date | 2024-07-09 |