| NPI | 1558604512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: WI 75781) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML60370885) |
| 208800000X Urology (Licence: WA MD60943485) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2021-08-27 |