| NPI | 1235705344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301517546) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ R78748) |
| 208800000X Urology (Licence: AZ 66410) | |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2026-07-13 |