| NPI | 1770798019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0088151) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD461729) |
| 208800000X Urology (Licence: WV 22834) | |
| 208800000X Urology (Licence: TX N8584) | |
| 208800000X Urology (Licence: CA A101074) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2022-07-21 |