| NPI | 1871732503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD D0076185) |
| Additional Taxonomies | 208800000X Urology (Licence: NJ 25MA08567200) |
| 208800000X Urology (Licence: SC 34470) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2013-08-22 |