| NPI | 1285615088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: VT 042-0010052) |
| Additional Taxonomies | 208800000X Urology (Licence: ME MD29024) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2025-09-16 |