| NPI | 1669904132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A187044) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 57.030368) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-09-27 |