| NPI | 1063903813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: FL OS21175) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS21175) |
| 208600000X Surgery (Licence: MI 5101027291) | |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2025-10-15 |