| NPI | 1689324683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 207954) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-07-17 |