| NPI | 1275126963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AZ 66536) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ R78742) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-02-15 |
| Last Update Date | 2022-09-21 |