| NPI | 1043981012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME169435) |
| Additional Taxonomies | 208800000X Urology (Licence: FL TRN35140) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-08-08 |