| NPI | 1467419291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 262473) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NE 22269) |
| 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 262473) | |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA MD071087L) | |
| 207V00000X Obstetrics & Gynecology (Licence: NY 262473) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-06-27 |