| NPI | 1699032052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 274530) |
| Additional Taxonomies | 208800000X Urology (Licence: IA MD-44490) |
| 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: IA MD-44490) | |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2021-12-06 |