| NPI | 1821297987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: MN 52996) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-02-05 |