| NPI | 1528414646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: MN 71639) |
| Enumeration Date | 2016-05-07 |
| Last Update Date | 2022-09-12 |