| NPI | 1912981648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO 41883) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101226435) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2015-02-09 |