| NPI | 1386712040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX Q8097) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME 107806) |
| 208800000X Urology (Licence: CA A113040) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2012-00911) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-02-09 |