| NPI | 1083751184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 265322-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A108817) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-12-02 |