| NPI | 1881794352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A068661) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 2289321) |
| 208800000X Urology (Licence: OR 154558) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-08-31 |