| NPI | 1154988004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA12276900) |
| Additional Taxonomies | 208800000X Urology (Licence: RI LP04583) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-06-27 |