| NPI | 1598002032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 094376) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 257105) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2019-04-11 |