| NPI | 1841286242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 320727) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA MD0623316L) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2025-12-15 |