| NPI | 1023223484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD465874) |
| Additional Taxonomies | 208800000X Urology (Licence: RI MD13725) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2021-05-21 |