| NPI | 1629168778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX R0410) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME111728) |
| 208800000X Urology (Licence: WI 48067-20) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2021-12-10 |