| NPI | 1003079682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: MI 4301095850) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301095850) |
| 208800000X Urology (Licence: CA A87127) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-11-20 |