| NPI | 1316351356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61337997) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MT213712) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-03-27 |