| NPI | 1487049565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: GA 83208) |
| Enumeration Date | 2015-04-05 |
| Last Update Date | 2024-04-26 |