| NPI | 1215316658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: GA 91302) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A168485) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-09-07 |