| NPI | 1114377371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101282994) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301508755) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2024-08-27 |