| NPI | 1255587432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NJ 25MA08670600) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: CT 56703) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2024-05-14 |