| NPI | 1982977278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NE 27457) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 27457) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2021-03-03 |