| NPI | 1477940518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61044107) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 66455) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-10-28 |