| NPI | 1912971672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD059839L) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2021-04-06 |