| NPI | 1740523158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60964556) |
| Additional Taxonomies | 208800000X Urology (Licence: MA 264720) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-06-23 |