| NPI | 1083877658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IA 4280) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101017949) |
| 208800000X Urology (Licence: NJ 25MB1124700) | |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-02-04 |