NPI | 1851586150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: PA MD449168) |
Additional Taxonomies | 208800000X Urology (Licence: CA A102730) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2014-07-08 |