| NPI | 1275793275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: LA MD.206015) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 206015) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-09-28 |