| NPI | 1134328495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME77220) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-09-23 |