| NPI | 1255398079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD034399E) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 190935) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 190935) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD034399E) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-03-11 |