| NPI | 1912134727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: PA ot012861) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS015751) |
| 208800000X Urology (Licence: NY 2739771) | |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2014-11-13 |