| NPI | 1770768376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2011-01021) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 230821-1) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2012-08-27 |