NPI | 1356979769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208800000X Urology (Licence: MN 79472) |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-07-24 |