| NPI | 1376834820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX V6774) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: FL ME135480) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2025-09-18 |