| NPI | 1073215372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: SC 4616) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |