| NPI | 1942220371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 151132) |
| Additional Taxonomies | 208800000X Urology (Licence: TN 72121) |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: TN 72121) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 151132) | |
| 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MA 1822) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-01-17 |