| NPI | 1790739167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX M8941) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036-110986) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-12-03 |