| NPI | 1063903813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS21175) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 5101027291) |
| Enumeration Date | 2018-05-27 |
| Last Update Date | 2024-10-21 |