| NPI | 1689091514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 283007) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2022-03-11 |