| NPI | 1114219656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NV 20768) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NY 289099-01) |
| 2088P0231X Urology, Pediatric Urology (Licence: LA 313436) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2022-09-16 |