| NPI | 1023307386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD449399) |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: PA MD449399) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2023-05-03 |