| NPI | 1215469820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2022-00234) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 2022-00234) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 287642) | |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2025-09-25 |