| NPI | 1205824224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD062757L) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2026-03-09 |