| NPI | 1730685272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA 20A24108) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2025-10-16 |