| NPI | 1962839399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR MD211325) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP10061576) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-08-13 |