| NPI | 1295145571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61246441) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A168534) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-08-23 |