| NPI | 1881080737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.135523) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-08-25 |