| NPI | 1972561108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: ND 14002) |
| Additional Taxonomies | 208800000X Urology (Licence: MI 5101014782) |
| 208800000X Urology (Licence: ND LT14002) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2023-12-20 |