| NPI | 1356570055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR DO174428) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101018239) |
| 208800000X Urology (Licence: MN 57247) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2025-01-04 |