| NPI | 1376989053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: VA 0101256866) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA 27723493) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2021-07-23 |