| NPI | 1821447418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 78635-020) |
| Additional Taxonomies | 208800000X Urology (Licence: IA R-10564) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: IA R-10564) | |
| 2088P0231X Urology, Pediatric Urology (Licence: IA R-10564) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2025-08-26 |