| NPI | 1639514979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD201279) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 63046-20) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-08-13 |