| NPI | 1578564266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 213835-1) |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-01-30 |