| NPI | 1588195135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61553629) |
| Additional Taxonomies | 208800000X Urology (Licence: UT 11924134-1205) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2024-11-17 |