| NPI | 1417948647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: FL ME129642) |
| Additional Taxonomies | 208800000X Urology (Licence: MA 150422) |
| 208800000X Urology (Licence: RI MD11894) | |
| 2088P0231X (Licence: MA 150422) | |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2018-01-13 |