| NPI | 1780810614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 50637) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME127432) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MS 23795) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2022-04-07 |