| NPI | 1962763219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD460958) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD460958) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2022-04-29 |