| NPI | 1114087988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301062412) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 95438) |
| 208800000X Urology (Licence: WV 36522) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2026-06-11 |