| NPI | 1013320936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA09464200) |
| Additional Taxonomies | 174400000X Specialist (Licence: NJ 25ma09464200) |
| 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD453086) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-05-10 |