| NPI | 1629338330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX S1439) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A149349) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-04-01 |