| NPI | 1588924096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101266322) |
| Additional Taxonomies | 208800000X Urology (Licence: MN 63494) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2021-02-07 |