| NPI | 1801411871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME166820) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: FL 1801411871) |
| 207V00000X Obstetrics & Gynecology (Licence: MO 2020016131) | |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2026-01-23 |