| NPI | 1508098922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 283535-1) |
| Additional Taxonomies | 208600000X Surgery (Licence: CA 123456789) |
| 208800000X Urology (Licence: IN 01074231A) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2016-09-12 |