| NPI | 1578883559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 289210) |
| Additional Taxonomies | 208800000X Urology (Licence: LA MD.207964) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: LA MD.207964) | |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2025-11-25 |