| NPI | 1194168369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A154926) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101266823) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2023-12-13 |