| NPI | 1972911774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: SC 94281) |
| Additional Taxonomies | 208800000X Urology (Licence: SC 94281) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2025-07-07 |