| NPI | 1982043998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 49908) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IL 036.151717) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036.151717) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2021-05-11 |