| NPI | 1881891661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NY 244461) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-10-09 |