| NPI | 1801082458 |
|---|---|
| Former Name | GENEVIEVE HELENA VON THESLING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A100973) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA A100973) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2016-09-13 |