| NPI | 1912358789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: KS 04-44458) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2016020873) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2023-01-06 |