| NPI | 1740308808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VT 0420014168) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2019-01-29 |