NPI | 1134239262 |
---|---|
Former Name | MIA ADDISON SWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: OH 35.090191) |
Additional Taxonomies | 208800000X Urology (Licence: OH 35.090191) |
208800000X Urology (Licence: WA ML20007145) | |
2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: WA MD60082415) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2023-01-03 |