| NPI | 1871554998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KS 05-29352) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS18826) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: KS 0529352) | |
| 207V00000X Obstetrics & Gynecology (Licence: FL OS18826) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2023-02-20 |