| NPI | 1467830711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A168902) |
| Additional Taxonomies | 208800000X Urology (Licence: MD D98588) |
| 208800000X Urology (Licence: WI 82717) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2023-12-05 |