| NPI | 1952505554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: LA 308821) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP2-0025838) |
| 2088P0231X (Licence: TX BP30037060) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-08-20 |