| NPI | 1346230901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: WA MD00032399) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00032399) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-03-30 |