| NPI | 1770859787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: NJ 25MA10546900) |
| Additional Taxonomies | 208800000X Urology (Licence: TX BP10040819) |
| Enumeration Date | 2012-03-25 |
| Last Update Date | 2022-09-12 |