| NPI | 1780003483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 300109-01) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-04-01 |