| NPI | 1912199134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OR MD28406) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 57.008910) |
| 207V00000X Obstetrics & Gynecology (Licence: NM MD2011-0047) | |
| 207V00000X Obstetrics & Gynecology (Licence: OR MD28406) | |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2020-06-05 |