| NPI | 1134486368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD464984) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A129845) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-01-26 |