| NPI | 1801020920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301102424) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301102424) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD457367) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2020-02-05 |