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 |