| NPI | 1831419514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 306661) |
| Additional Taxonomies | 208800000X Urology (Licence: PA MD458674) |
| 208800000X Urology (Licence: IA MD-42344) | |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2021-05-27 |