| NPI | 1962399980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MO 2025024154) |
| Additional Taxonomies | 208600000X Surgery (Licence: MO 2025024154) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-23 |