| NPI | 1861486300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: NY 194863) |
| Additional Taxonomies | 208800000X Urology (Licence: NY 194863) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2025-04-02 |