| NPI | 1013335504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 287129) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-10-31 |