| NPI | 1154785632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0095573) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 308371-01) |
| 208800000X Urology (Licence: VA 0101276496) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-09-12 |