| NPI | 1063946697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA12203600) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A180985) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2024-04-25 |