| NPI | 1073908190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101275295) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.139409) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-08-09 |