| NPI | 1114185634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 9017811-1205) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ 42235) |
| 208800000X Urology (Licence: MN 56312) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2016-01-11 |