| NPI | 1174784888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO 0058645) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 073292) |
| 208800000X Urology (Licence: WA 60481524) | |
| 208800000X Urology (Licence: DC MD038597) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-06-04 |