| NPI | 1073574141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: SC 83447) |
| Additional Taxonomies | 208800000X Urology (Licence: VA 0101054350) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2021-05-24 |