| NPI | 1902932023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: AK 7873) |
| Additional Taxonomies | 208800000X Urology (Licence: GA 66423) |
| 2088P0231X (Licence: GA 066423) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2023-03-07 |