| NPI | 1225422322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NV 24255) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0116030227) |
| 208800000X Urology (Licence: KY 56041) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2023-11-07 |