| NPI | 1043502677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 16459) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2024-01-25 |