| NPI | 1063746840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 285370-1) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2016-07-21 |