| NPI | 1790847994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX G3482) |
| Additional Taxonomies | 208800000X Urology (Licence: LA MD.205535) |
| 208800000X Urology (Licence: MO R8H73) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-03-30 |