| NPI | 1376508887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: FL FV27331265) |
| Additional Taxonomies | 208800000X Urology (Licence: AZ 36192) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 52898) | |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2015-04-08 |