| NPI | 1306465885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2024-01480) |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-06-16 |