| NPI | 1013404227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NY 317358) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 317358) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2024-03-12 |