| NPI | 1922269653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2012-00443) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-02-01 |