| NPI | 1326053083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301097403) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2014-11-18 |