| NPI | 1922050137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G57238) |
| Additional Taxonomies | 208800000X Urology (Licence: CA G57238) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |