| NPI | 1679869572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CT 55927) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CT 55927) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2018-05-01 |