| NPI | 1629501622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A202681) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CT 67520) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2025-09-11 |