| NPI | 1033183314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2016-01690) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD00041648) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-05-08 |