NPI | 1982877866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2088F0040X Urology, Urogynecology and Reconstructive Pelvic Surgery (Licence: WI 54414) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KY TP) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2015-09-25 |