| NPI | 1205808904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 231561) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 231561) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2022-12-07 |