| NPI | 1275823684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60626630) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301098484) |
| 208600000X Surgery (Licence: MI 4301098484) | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-02-22 |