| NPI | 1053313213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA G53246) |
| Additional Taxonomies | 208800000X Urology (Licence: TX L7805) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2023-04-30 |