| NPI | 1497077218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD61548569) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2025-02-13 |