| NPI | 1487180261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A160779) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 23108) |
| 208800000X Urology (Licence: MN 71358) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-01-16 |