| NPI | 1023469079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 300142) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-01-26 |