| NPI | 1104827583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 212756-1) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-07-16 |