| NPI | 1962669895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: MA 266163) |
| Additional Taxonomies | 208800000X Urology (Licence: MA 266163) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2016-09-01 |