| NPI | 1629177449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A78497) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX L9551) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-03-11 |