| NPI | 1942321393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A99141) |
| Additional Taxonomies | 2088F0040X Urology, Female Pelvic Medicine and Reconstructive Surgery (Licence: CA A99141) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-01-09 |