| NPI | 1124555297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 330501) |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2024-06-09 |