| NPI | 1013610914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME170844) |
| Additional Taxonomies | 208800000X Urology (Licence: FL TRN38073) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2025-09-13 |