| NPI | 1346406345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME 128140) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2025-11-05 |