NPI | 1790173292 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A129274) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A129274) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2021-09-22 |