| NPI | 1346236536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA MD446305) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NJ MA08479600) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2017-03-21 |