| NPI | 1700085628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 275711) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA ML20009016) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2014-08-25 |