| NPI | 1467749978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0059044) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 316047) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-07-07 |