| NPI | 1578883559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: LA MD.207964) |
| Additional Taxonomies | 2088F0040X Urology Female Pelvic Medicine and Reconstructive Surgery (Licence: LA MD.207964) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2016-09-26 |