| NPI | 1003949561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA 20A16746) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 34011414) |
| 208800000X Urology (Licence: TX P4980) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2024-07-12 |