| NPI | 1679969455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 5101026636) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2023-04-11 |