| NPI | 1477602068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME112716) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD073541L) |
| 208800000X Urology (Licence: CA A71494) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-04-20 |