| NPI | 1124282587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TN 5344) |
| Additional Taxonomies | 208800000X Urology (Licence: KY 05682) |
| 208800000X Urology (Licence: NC 2013-01661) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2025-02-21 |