| NPI | 1710243951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 293674) |
| Additional Taxonomies | 208800000X Urology (Licence: OR MD193211) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2019-07-03 |