| NPI | 1154609782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL MFC1723) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.123228) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2014-06-25 |