| NPI | 1316386709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101264964) |
| Additional Taxonomies | 208600000X Surgery (Licence: SC 35634) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2018-07-17 |