| NPI | 1508854951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: AZ 75008) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD60404575) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2025-03-21 |