| NPI | 1427747872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA KHANIJOW Owner 727-203-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2024-11-07 |