| NPI | 1114109626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A100321) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA A100321) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2012-04-04 |