| NPI | 1285015057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: OK 35636) |
| Additional Taxonomies | 208800000X Urology (Licence: SC LL38195) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2020-06-15 |