| NPI | 1881936862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A182272) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD61185981) |
| 207V00000X Obstetrics & Gynecology (Licence: CA A182272) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-02-03 |