| NPI | 1619407699 |
|---|---|
| Former Name | TANYA WATTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 036.153438) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125.071219) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2023-09-13 |