| NPI | 1790951408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101245997) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2023-12-19 |