| NPI | 1407340995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 322570) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 65799) |
| 208800000X Urology (Licence: FL ME162916) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-06-19 |