Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207V00000X | Obstetrics & Gynecology | | MD00045314 | WASHINGTON | No |
| 2 | 207V00000X | Obstetrics & Gynecology | | 67111-20 | WISCONSIN | No |
| 3 | 207V00000X | Obstetrics & Gynecology | | 8437 | NORTH DAKOTA | No |
| 4 | 207VC0200X | Obstetrics & Gynecology | Critical Care Medicine | 8437 | NORTH DAKOTA | No |
| 5 | 207VC0300X | Obstetrics & Gynecology | Complex Family Planning | 8437 | NORTH DAKOTA | No |
| 6 | 207VF0040X | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | 67111-20 | WISCONSIN | No |
| 7 | 207VF0040X | Obstetrics & Gynecology | Urogynecology and Reconstructive Pelvic Surgery | 8437 | NORTH DAKOTA | Yes |