| NPI | 1093248833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: WA MD61463871) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD61463871) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2025-08-06 |