| NPI | 1114039674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MO 2014018788) |
| Additional Taxonomies | 208800000X Urology (Licence: MO 2014018788) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-06-13 |