| NPI | 1962666784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 248455) |
| Additional Taxonomies | 208800000X Urology (Licence: NH 15266) |
| 208800000X Urology (Licence: NY 253676) | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2019-06-03 |