| 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 |