| NPI | 1215292743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX T7938) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101020150) |
| 208800000X Urology (Licence: FL OS16056) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2023-01-20 |