| NPI | 1447471602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: CO DR.0054799) |
| Additional Taxonomies | 208600000X Surgery (Licence: CO DR.0054799) |
| 208800000X Urology (Licence: MI 4301089514) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301089514) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-09-25 |