| NPI | 1033196423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A117743) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 44855) |
| 208800000X Urology (Licence: PA MD431186) | |
| 208800000X Urology (Licence: MD D0067571) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-12-14 |