| NPI | 1114194792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0066789) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD455816) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2025-03-13 |