| NPI | 1114007770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CT 047370) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-09-05 |