NPI | 1801865878 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NM MD2006-0142) |
Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NM MD2006-0142) |
207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 43908) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2017-12-08 |