| NPI | 1407172877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208800000X Urology (Licence: NY 311067) |
| Additional Taxonomies | 208800000X Urology (Licence: OH 35 129639) |
| 208800000X Urology (Licence: GA 83049) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-04-10 |
| Last Update Date | 2022-11-30 |