| NPI | 1932463940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2018020865) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101019725) |
| 208800000X Urology (Licence: MI 5315054292) | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2018-09-25 |