| NPI | 1508041518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.090490) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2021-12-22 |