| NPI | 1194117226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: SC 83815) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2020-02075) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2020-07-13 |