| NPI | 1114339447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2022-00246) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D0087688) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2022-07-27 |