| NPI | 1154771285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA 21344) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101022630) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2025-02-11 |