| NPI | 1962080408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A206260) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 82650-20) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-07-08 |