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