| NPI | 1467814996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD61679126) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61679126) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2025-08-25 |