| NPI | 1568748424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: CA C194141) |
| Additional Taxonomies | 208800000X Urology (Licence: CA C194141) |
| 2088P0231X (Licence: CO TL0004559) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2024-07-12 |