| NPI | 1235335381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: NY 241412) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 241412) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2013-05-13 |