| NPI | 1477647154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KS 0442759) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-02-09 |