| NPI | 1619381480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 70869) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101021031) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-05-18 |