NPI | 1508251182 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2019-00832) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2019-04-13 |