| NPI | 1871885087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MA 290385) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: NY 302385) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2021-12-22 |