| NPI | 1649433384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NC 200801882) |
| Additional Taxonomies | 2088P0231X (Licence: DC MD035527) |
| 2088P0231X (Licence: NC 2008-01882) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2021-08-10 |