| NPI | 1861652570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: LA DO.000452) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA DO.000452) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2016-10-20 |