| NPI | 1912223645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD446802) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MT197234) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD446802) | |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2021-08-13 |