| NPI | 1215591201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CA A193050) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351044079) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-06-19 |