| NPI | 1992753032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: KS 05-20200) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-08-23 |