| NPI | 1629469507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 304142) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-09-27 |