| NPI | 1922504257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 1024783) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2025-11-25 |