| NPI | 1336433713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TN 57289) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL TRN15775) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2022-03-14 |