| NPI | 1831694736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD70031344) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2025-10-08 |