| NPI | 1801090220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME152478) |
| Additional Taxonomies | 208800000X Urology (Licence: KY 41104) |
| 208800000X Urology (Licence: NC 2013-01108) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2021-09-16 |