| NPI | 1538507173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: VA 0101267194) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MT204687) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2020-08-28 |