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 |