| NPI | 1710501945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 1023751) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP10072437) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2025-06-27 |