| NPI | 1548757909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MA 1016619) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 77697) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2024-07-29 |