| NPI | 1578067518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MA 1014310) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64011) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-08-08 |