| NPI | 1023216918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: CA A143219) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2007018120) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-09-13 |