| NPI | 1164482949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60525316) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 37480-020) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2023-04-04 |