| NPI | 1770895864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL OS13235) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MB09274200) |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2021-06-29 |