| NPI | 1750465472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: OR MD223301) |
| Additional Taxonomies | 2088P0231X (Licence: WA WA00034550) |
| 2088P0231X (Licence: ID 5961565) | |
| 208800000X Urology (Licence: CA G186314) | |
| 208800000X Urology (Licence: WA MD00034550) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2025-01-15 |