| NPI | 1497099857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 280537) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: OH 35.146043) |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2023-09-06 |