| NPI | 1194284166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A195509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A195509) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-09-12 |