| NPI | 1174758262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301105050) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery (Licence: MI 4301105050) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2016-09-26 |