| NPI | 1346457215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: CT 56048) |
| Additional Taxonomies | 208800000X Urology (Licence: IA R7864) |
| 2088P0231X (Licence: GA 67530) | |
| 2088P0231X (Licence: IA MD-41930) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2017-02-23 |