| NPI | 1205102092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A149644) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2020-03-10 |