NPI | 1003976853 |
---|---|
Former Name | MICHAELLA ERIN MALONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: SC 34633) |
Additional Taxonomies | 208800000X Urology (Licence: IL 036125648) |
2088P0231X Urology Pediatric Urology (Licence: IL 036125648) | |
Enumeration Date | 2006-12-11 |
Last Update Date | 2012-08-15 |