| NPI | 1215591201 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301514672)  | 
| Additional Taxonomies | 208800000X Urology (Licence: CA A193050)  | 
| Enumeration Date | 2019-04-25 | 
| Last Update Date | 2025-07-22 |