| NPI | 1861647927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 31397) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 049565) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2019-10-21 |