| NPI | 1366860249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 288051) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2021-09-01 |