| NPI | 1952933236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101288370) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2026-08-28 |