| NPI | 1811126246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 291344) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MD D0068618) |
| 207V00000X Obstetrics & Gynecology (Licence: PA MD446304) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2018-03-17 |