| NPI | 1619177680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MO 2011014314) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2024-04-25 |