| NPI | 1124316088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: FL OS13701) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101019310) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2021-06-08 |