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