| NPI | 1366643587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MI 4301100524) |
| Additional Taxonomies | 208800000X Urology (Licence: TX N9796) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2024-10-02 |