| NPI | 1912310301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: RI MD16820) |
| Additional Taxonomies | 208600000X Surgery (Licence: RI LP03217) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2019-09-17 |