| NPI | 1083925127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 0441200) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2018012015) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2020-12-02 |