| NPI | 1538728126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A192484) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT218190) |
| 208800000X Urology (Licence: VA 0101284566) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2025-08-04 |