| NPI | 1578839676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 282187) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2019-11-22 |