| NPI | 1386061760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-41979) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2019008354) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-12-02 |