| NPI | 1316000698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 235733) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NJ 25MA08131400) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NJ 25MA08131400) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 235733) | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2023-01-27 |