| NPI | 1225353295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301111678) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 252358) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2019-08-21 |