| NPI | 1104877018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NE 23778) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 44887) |
| 208800000X Urology (Licence: IA 36776) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2013-03-27 |