| NPI | 1164697876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 45919) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2022-10-19 |