| NPI | 1790128072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IN 01075083A) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: IN 01075083A) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2024-08-28 |