| 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, Female Pelvic Medicine and Reconstructive Surgery (Licence: NM MD2006-0142) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WI 43908) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-12-08 |