NPI | 1669815148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: WA MD60830944) |
Additional Taxonomies | 2088P0231X Urology, Pediatric Urology (Licence: WA MD60830944) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-15 |
Last Update Date | 2020-10-13 |