| NPI | 1326301102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A127506) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: TX S6586) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2024-02-05 |