| NPI | 1760977474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VT 042.0018791) |
| Additional Taxonomies | 208800000X Urology (Licence: SC LL52836) |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2025-10-01 |