| NPI | 1861789554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2015-02048) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2015-02048) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2022-01-04 |