| NPI | 1912094962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD451882) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 60-225867) |
| 208800000X Urology (Licence: WI 49558020) | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2020-08-26 |