| NPI | 1629432760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NY 211661) |
| Additional Taxonomies | 208800000X Urology (Licence: FL me77460) |
| 208800000X Urology (Licence: TX k7618) | |
| 208800000X Urology (Licence: DE c10004448) | |
| 208800000X Urology (Licence: CT 038592) | |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |