| NPI | 1417160524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101255371) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-03-27 |