| NPI | 1760771836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NE 31626) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: WA MD60727876) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-06-23 |