| NPI | 1225359243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2024-01300) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 70075) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: SC 52577) | |
| 208600000X Surgery (Licence: IL 125-058618) | |
| 208800000X Urology (Licence: SC 52577) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2025-04-30 |