| NPI | 1184144149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 22846) |
| Additional Taxonomies | 208600000X Surgery (Licence: MN 28771) |
| 208800000X Urology (Licence: MN 28771) | |
| 208800000X Urology (Licence: MN 65130) | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-08-01 |