| NPI | 1497192181 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208800000X Urology (Licence: DE C1-0013703) | 
| Additional Taxonomies | 208800000X Urology (Licence: RI LP02939) | 
| Enumeration Date | 2013-06-04 | 
| Last Update Date | 2020-07-17 |