NPI | 1972865541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208800000X Urology (Licence: NJ 25MB10130800) |
Additional Taxonomies | 208800000X Urology (Licence: PA OT014534) |
Enumeration Date | 2012-06-11 |
Last Update Date | 2024-04-26 |