| NPI | 1093831380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD164583) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD60405507) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-02-04 |