| NPI | 1902895816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD60331994) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2015-12-02 |