| NPI | 1962847673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: OR DO192530) |
| Additional Taxonomies | 208800000X Urology (Licence: NC 2018-00838) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2019-07-04 |