| NPI | 1730110164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: WA MD00045698) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD00045698) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-02-03 |