| NPI | 1801117569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: OH 35.128119) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 125-057867) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-12-01 |