| NPI | 1144665886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA md61013483) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101257181) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2022-10-24 |