| NPI | 1992716419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD457698) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: LA 78634) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ MA08141000) | |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA08141000) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2016-08-17 |