| NPI | 1689849192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.146670) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD427202) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2025-11-05 |