| NPI | 1811923394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME138719) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35073997F) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2025-06-10 |