| NPI | 1689081275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A131270) |
| Additional Taxonomies | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A131270) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2024-01-04 |