| NPI | 1205041274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IN 01072814A) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 57. 008401) |
| 2088P0231X Urology, Pediatric Urology (Licence: MA 238864) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2016-01-20 |