| NPI | 1346801248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MB12093700) |
| Additional Taxonomies | 208800000X Urology (Licence: PA OT019521) |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2024-12-27 |