| NPI | 1134500788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: FL ME163227) |
| Additional Taxonomies | 208800000X Urology (Licence: FL ME163227) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-01-11 |