| NPI | 1710185624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CT 63683) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2007016879) |
| 208800000X Urology (Licence: MA 273672) | |
| 208800000X Urology (Licence: NY 291812-1) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-08-27 |