| NPI | 1083876296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: RI CDO00756) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OT012335) |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-03-30 |