| NPI | 1851972244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY AN1865243-70383) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-08-14 |