| NPI | 1649629718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: MO 2023016278) |
| Additional Taxonomies | 2088P0231X (Licence: KS 04-47624) |
| 208800000X Urology (Licence: CO DR.0066536) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2023-10-17 |