| NPI | 1023644671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA MD494817) |
| Additional Taxonomies | 208800000X Urology (Licence: CA PTL6115) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2026-07-23 |