| NPI | 1396732145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: SC 91892) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101238647) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2024-08-23 |