| NPI | 1417367855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101272569) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10049568) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2023-08-09 |