| NPI | 1033475025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD466986) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-05-19 |