| NPI | 1952414773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD00042309) |
| Additional Taxonomies | 208800000X Urology (Licence: OR MD24553) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-02-04 |