| NPI | 1972700052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: CA A115201) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A115201) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2017-05-19 |