| NPI | 1700821014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: RI MD11125) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2021-04-01 |