| NPI | 1497041172 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208800000X Urology (Licence: MI 5101021451)  | 
| Additional Taxonomies | 208800000X Urology (Licence: MA 249370)  | 
| Enumeration Date | 2011-06-22 | 
| Last Update Date | 2014-07-23 |