| NPI | 1114423571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301514890) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MA 292259) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MI 4301514890) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-08-18 |