| NPI | 1225490394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX U8285) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: GA 88423) | |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2024-09-12 |