| NPI | 1609075571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NC 2013-00179) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MB08653500) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2013-05-06 |