| NPI | 1063696763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD471825) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: FL ME124118) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD471825) | |
| 207V00000X Obstetrics & Gynecology (Licence: NJ 25MA09160500) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA09160500) | |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2024-06-14 |