| NPI | 1033314422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: GA 057169) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: GA 57169) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: GA 057169) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2025-02-24 |