NPI | 1033552823 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WA MD00035154) |
Additional Taxonomies | 208800000X Urology (Licence: WA MD00035154) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2013-04-10 |