| NPI | 1306463773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-51069) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2020019339) |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-06-24 |