| NPI | 1477794717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: CA A98030) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: CA A98030) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2021-11-29 |