| NPI | 1508433087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2025-02280) |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-10-21 |