| NPI | 1790011062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME92864) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35098042) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2018-02-13 |