| NPI | 1962963884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA12729900) |
| Additional Taxonomies | 208800000X Urology (Licence: WA MD61522227) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-10-22 |