| NPI | 1508214412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MA 291157) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03718) |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2022-06-13 |