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 |