| NPI | 1407340433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MB11909400) |
| Additional Taxonomies | 208800000X Urology (Licence: PA OT018756) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2023-09-13 |