| NPI | 1679830459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: UT 10796727-1205) |
| Additional Taxonomies | 208800000X Urology (Licence: IL X) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2018-06-20 |