| NPI | 1790957520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60235724) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35.088930) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2013-08-26 |