| NPI | 1255636825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A115356) |
| Enumeration Date | 2011-01-12 |
| Last Update Date | 2025-10-24 |