| NPI | 1063904282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD474325) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD045519) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2021-09-08 |