| NPI | 1467032375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CO DR.0075730) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-08-04 |