| NPI | 1992828743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD60270123) |
| Additional Taxonomies | 208800000X Urology (Licence: CO 2051) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-05-28 |