| NPI | 1679969802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: AZ 66286) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: TX W2430) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2025-12-31 |