| NPI | 1588612469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: SD 3576) |
| Additional Taxonomies | 208800000X Urology (Licence: IA 23067) |
| 208800000X Urology (Licence: NV 13528) | |
| 208800000X Urology (Licence: CA C54864) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2012-05-18 |