| NPI | 1780144568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A181693) |
| Additional Taxonomies | 208800000X Urology (Licence: CA PTL1430) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2025-09-17 |