| NPI | 1275704652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: GA 69387) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 229660) |
| 208800000X Urology (Licence: VA 0101251383) | |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2015-04-08 |