| NPI | 1548263213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: UT 373658-1205) |
| Additional Taxonomies | 174400000X Specialist (Licence: UT 373658-1205) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2017-03-06 |