| NPI | 1083712210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD055584L) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: PA MD055584L) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-06 |