| NPI | 1003179128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA 149421) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2012018713) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2019-02-04 |