| NPI | 1134384415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA08450700) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 262925) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2024-01-25 |