| NPI | 1093192411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 311254) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA10821100) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-11-04 |