| NPI | 1871613992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-33776) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2009012794) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2021-01-18 |