| NPI | 1962030130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: OH 35.150571) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2026-08-04 |