| NPI | 1861831273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: AK 147657) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 201801258) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2019-08-28 |