| NPI | 1689873929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101253785) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101253785) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2020-10-28 |