| NPI | 1649732686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CO DR.0070289) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101270848) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-07-05 |