| NPI | 1720442106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A185290) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-09-11 |