| NPI | 1578982880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A173315) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-03-02 |