| NPI | 1255689758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 272852) |
| Additional Taxonomies | 208800000X Urology (Licence: CA A142089) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2019-04-12 |