| NPI | 1194087205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X (Licence: NE 33415) |
| Additional Taxonomies | 208800000X Urology (Licence: FL TRN17316) |
| 208800000X Urology (Licence: OH 35.130522) | |
| 2088P0231X (Licence: OH 35-130522) | |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2024-07-17 |