| NPI | 1366934366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101285558) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2025-11-07 |