| NPI | 1629605738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NH 39747) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208800000X Urology (Licence: FL ME174415) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2026-07-25 |