| NPI | 1083065643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NJ 25MB12026700) |
| Additional Taxonomies | 208800000X Urology (Licence: MD H0091995) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2025-09-26 |