| NPI | 1790896157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A122456) |
| Additional Taxonomies | 207VF0040X Obstetrics & Gynecology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A122456) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-08-14 |