| NPI | 1669187506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: NY 339180) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY P119273) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2025-09-30 |