NPI | 1205819323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: HI MD6412) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: HI MD6412) |
2471B0102X Radiologic Technologist, Bone Densitometry (Licence: HI MD6412) | |
Enumeration Date | 2005-11-22 |
Last Update Date | 2014-09-09 |