| NPI | 1174695647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MD D0068350) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-05-13 |