| NPI | 1801239108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OR MD199216) |
| Additional Taxonomies | 208800000X Urology (Licence: CO DR.0060773) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2020-07-31 |