| NPI | 1154740777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 71231) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 65051) |
| 208800000X Urology (Licence: NY 309810) | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2023-12-29 |