| NPI | 1487158119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101282967) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA11743300) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2024-07-24 |