NPI | 1720515083 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA10729900) |
Additional Taxonomies | 208800000X Urology (Licence: PA MT213417) |
208800000X Urology (Licence: FL ME154940) | |
Enumeration Date | 2017-05-17 |
Last Update Date | 2023-08-22 |