| NPI | 1982015020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MA10578000) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP10050157) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2019-07-02 |