| NPI | 1346308947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NV 7840) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: VA 0101280695) |
| 174400000X Specialist (Licence: NV 7840) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-01-10 |