| NPI | 1831124809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2021-03043) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 230008) |
| 208800000X Urology (Licence: WA MD60140054) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WA MD60140054) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: NC 2021-03043) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-06-30 |