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