| NPI | 1225360720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OH 35-126797) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35-126797) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2022-09-06 |