| NPI | 1487674164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MN 62446) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD463383) |
| 208800000X Urology (Licence: CT 037531) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-08-26 |