| NPI | 1003903550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2017017909) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 228628-1) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-12-27 |