| NPI | 1467849695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A177166) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD61027048) |
| Enumeration Date | 2015-04-26 |
| Last Update Date | 2022-09-28 |