| NPI | 1871854885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: TX R3448) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10043376) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2022-07-21 |