| NPI | 1811001738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 260893) |
| Additional Taxonomies | 208800000X Urology (Licence: VT 0420009234) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-08-02 |