| NPI | 1366628695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301098161) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 000834) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2012-04-26 |