| NPI | 1093344186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 0010-12405) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-12405) |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-11-05 |