| NPI | 1306862602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA OS-011077-L) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA OS-011077-L) |
| 208800000X Urology (Licence: NJ 25MB06433200) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-12-31 |