| NPI | 1255538906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 294320) |
| Additional Taxonomies | 208800000X Urology (Licence: PA OT012276) |
| 208800000X Urology (Licence: NC 2012-01626) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-12-12 |