| NPI | 1972724433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME106639) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 231172) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME106639) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2018-04-25 |