| NPI | 1144665886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA md61013483) |
| Additional Taxonomies | 208800000X Urology (Licence: TX T4475) |
| 208D00000X General Practice (Licence: VA 0101257181) | |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2025-01-31 |