| NPI | 1780677872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: PA MD070907L) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ MA07578100) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2015-11-13 |