| NPI | 1871750703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2009-00516) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 117171) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2021-04-01 |