NPI | 1417216896 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301110617) |
Enumeration Date | 2012-05-07 |
Last Update Date | 2020-03-24 |