| NPI | 1326674524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NC 202401353) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 302204) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-06-05 |