| NPI | 1497259246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: IL 125.072164) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: PA MD492221) | |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2025-10-21 |