| NPI | 1003304916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX U2952) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN26606) |
| 208800000X Urology (Licence: FL ME141601) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-07-14 |