| NPI | 1477740934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: PA md439904) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A92463) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2011-10-25 |