| NPI | 1891107710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OR MD209683) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: WA MD61047068) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-11-03 |