| NPI | 1518496264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD19923) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 314275) |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: RI MD19923) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-08-27 |