| NPI | 1790014827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 286001) |
| Enumeration Date | 2009-12-20 |
| Last Update Date | 2024-05-07 |