| NPI | 1669750907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 263882) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2013-02-27 |