| NPI | 1265793152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME159292) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2017-01095) |
| 208800000X Urology (Licence: IA MD-45388) | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2025-05-01 |