| NPI | 1801052261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: MA 259210) |
| Additional Taxonomies | 208800000X Urology (Licence: WA ML60021030) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2014-07-16 |