| NPI | 1659722403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2021017796) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2016020810) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-09-26 |