| NPI | 1104182443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX R3593) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A161335) |
| 2088P0231X Urology, Pediatric Urology (Licence: CA A161335) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2025-06-11 |