| NPI | 1235303512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2015-0519) |
| Additional Taxonomies | 208800000X Urology (Licence: TX P8856) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2015-11-02 |