| NPI | 1013366491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301110165) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301110165) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2021-07-15 |