NPI | 1033746508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: VA 0102206875) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2020-03-25 |
Last Update Date | 2025-09-09 |