| NPI | 1144607805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX S4934) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME129268) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2020-07-16 |