| NPI | 1912955857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL PA9103257) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085001308) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2018-07-12 |