| NPI | 1801162003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NM MD2020-0938) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 67790-20) |
| Enumeration Date | 2012-04-01 |
| Last Update Date | 2020-11-09 |