| NPI | 1669679940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 246738) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2026-06-05 |