| NPI | 1043476898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60368349) |
| Additional Taxonomies | 208800000X Urology (Licence: OR 208800000X) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2013-09-30 |