| NPI | 1063873446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 83750) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD61269656) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2024-08-06 |