| NPI | 1821281866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MT 164699) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2026-07-29 |