| NPI | 1952382756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA C166730) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 226218) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 226218) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA C166730) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2023-11-27 |