| NPI | 1700846730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX L6531) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2024-01647) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2026-07-30 |