| NPI | 1528351640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL OS13445) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2026-03-27 |