| NPI | 1740842558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology Pediatric Urology (Licence: CO DR.0073429) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MT219390) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2024-06-18 |