| NPI | 1306888334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL ME 110346) |
| Additional Taxonomies | 208800000X Urology (Licence: TX G2973) |
| 2088P0231X Urology, Pediatric Urology (Licence: TX G2973) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2021-01-18 |