| NPI | 1699192559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 56089) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO DR.0064720) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-09-22 |