| NPI | 1609344407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA SP019468) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA SP019468) |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2023-03-15 |