| NPI | 1376959189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2024-02719) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 59615) |
| 208800000X Urology (Licence: TX S1952) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2025-01-30 |