| NPI | 1811913585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KY 39021) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-09-29 |