| NPI | 1801090576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 243505-1) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 4301516486) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2026-03-06 |