| NPI | 1174985444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 101113) |
| Additional Taxonomies | 208800000X Urology (Licence: WI 83316-20) |
| 208800000X Urology (Licence: NV 20791) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2025-04-18 |