| NPI | 1679724900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: FL TRN10389) |
| Additional Taxonomies | 208800000X Urology (Licence: CO CDR.0005571) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2025-08-12 |