| NPI | 1962649442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA08524000) |
| Additional Taxonomies | 208800000X Urology (Licence: NH 15447) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2018-04-12 |