| NPI | 1669815148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: TX V9568) |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: WA MD60830944) |
| 208D00000X General Practice (Licence: WA MD60830944) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2025-09-03 |