| NPI | 1821524570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA 61420283) |
| Additional Taxonomies | 208800000X Urology (Licence: OR 215179) |
| 208800000X Urology (Licence: CA A176315) | |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2023-07-24 |