| NPI | 1033505995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX T5847) |
| Additional Taxonomies | 208800000X Urology (Licence: CO dr.0064069) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-02-15 |