| NPI | 1740622422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 303162-01) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NY 303162-01) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2020-08-26 |