NPI | 1790129625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OH 35.132930) |
Additional Taxonomies | 208800000X Urology (Licence: OH 35.132930) |
Enumeration Date | 2013-04-22 |
Last Update Date | 2019-08-28 |